QUESTIONS ANSWERED & PROCEDURE
What is a Vasectomy?
(Read 'History Of Vasectomy') To better understand why a vasectomy makes you unable to have children, (see illustration of the male reproductive system) It is important to understand some of the anatomy of this system. Sperm are produced in each testicle within the scrotum and are stored in the epididymis (a small “bag” that sits on top of the testicle). When called for, the sperm move up the vas deferens (the “sperm tube”) of each testicle to the urethra (“urine tube”) of the Penis. Along the way, the seminal vesicles and the prostate gland secrete fluids that nourish and transport the sperm. When you have an orgasm, you ejaculate semen which is 98% sperm nourishment fluid and 2% sperm. During a vasectomy, each vas deferens is blocked so that the sperm cannot travel though it. Usually a piece of each vas is removed and the cut ends are sealed.
Is a vasectomy a major medical procedure?
No. It is a minor procedure which takes approximately 30 minutes and can be done in the physician’s office with local anesthetic (freezing). Although you will be awake, your scrotum will be numbed so that you will feel no pain. The doctor will make a small incision in the front of the middle of the scrotum, locate the vas deferens and remove a section. Then he will close the ends of each vas with an electric current and tie each end back upon itself with a stitch. After the procedure is repeated on the other vas through the same incision, he will close the incision in the scrotum with an absorbable stitch located under the skin edges. It is usually wise to wear briefs, not boxers after the procedure.
What effect will a vasectomy have on my body?
How will I feel after a vasectomy?
What are the possible complications of a vasectomy?
The vasectomy is among the safest of surgical procedures; potential problems are not life-threatening. Sometimes, an infection develops in the incision or the epididymis, or bleeding may occur inside the scrotum, resulting in a swelling and a bruised appearance. A small lump which is called a sperm granuloma, may develop due to leakage of sperm in the area where the vas was cut. Such a lump usually is not painful. Very rarely, the vas reconnects and you can become fertile again. Your doctor will discuss these complications and alert you to symptoms of each.
Does a vasectomy work immediately?
Is a vasecomy reversible
For all practical purposes, the answer is NO. There is a procedure called a vasovasotomy in which each of the cut fast deference is reconnected. However, this major operation is not guaranteed to restore fertility.
What do I do after a vasectomy?
- Return Home and rest for approximately 48 hours. Wear snug briefs or an athletic support.
Apply an ice pack to your scrotum on top of your underwear (ie. don’t apply directly to the scrotum). Don’t use frozen peas…nobody will want to eat them later!!!
Do not have a bath for the next three days. You may, however, take a shower 24 hours after the Vasectomy procedure.
Keep an ice pack on the scrotum for 20 minutes at a time every 90 minutes of so for the first day. This will reduce swelling and inflammation.
Avoid strenuous physical activity for one week (ie. don’t work out for a week). Note: Doing the dishes is not considered to be strenuous physical activity (sorry).
Sexual intercourse may be resumed after 3 days – especially if you are able to do the dishes.
Dissolvable stitches are used, so no stitches will need to be removed.
Remember that you are not sterile immediately. Active sperm remains in the tubes for some time after a Vasectomy, so continue to take birth control precautions until you have a proven negative sperm count. Negative Sperm are usually achieved after 10-20 ejaculations.
After the surgery, you will probably have some pain and swelling in the scrotal region. The scrotum may be black and blue (from a small amount of bleeding). This is normal and should not be a cause for concern. An increase in the size of your scrotum means that you should call your Doctor or Surgeon immediately.
A very small percentage of cases (approximately 1/5000), the ends of the Vas will find a way to grow back together and the surgery will have to be repeated. For this reason, some vasectomized men have their semen checked every 2 to 4 years.
Fever (over 38 degrees Celsius)
Bleeding from the site of the incision
Swelling of the scrotum
Is there an advantage of vasectomy rather than my partner having her tubes tied?
Vasectomy is a simpler and safer operation than that required to sterilize a woman. Despite this, many women prefer that they be sterilized instead. This is something only you and your partner can decide as being the appropriate procedure for your family.